| NPI | 1043316391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLENE A LEWIS Medical Director 770-981-2443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 043236) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |