| NPI | 1083160436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLA VERDENE JOHNSON Owner/Manager 470-771-9677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: GA 003556) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-09-17 |