| NPI | 1043440530 |
|---|---|
| Doing Business As | FAMILY HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | DANIELLE O EIDSON Administrative Operations Manager 770-288-2822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 056874) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: GA 004088) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2022-11-18 |