| NPI | 1093855876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH HALL SUMMERFORD Office Manager 678-988-0571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247200000X Technician, Other (Licence: CO not required) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |