NPI | 1093181000 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA P BLACK Owner 404-295-6251 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 15074174) |
Enumeration Date | 2015-08-12 |
Last Update Date | 2015-08-12 |