| NPI | 1063553501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIEN DUC NGUYEN President 770-270-0290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 024046) |
| Additional Taxonomies | 208D00000X General Practice (Licence: GA 036656) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2012-01-24 |