NPI | 1104086800 |
---|---|
Entity Type | Organization |
Authorized Contact | ERICA YVETTE FRANCIS-SCOTT Managing Member 770-939-7477 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 041796) |
Enumeration Date | 2008-06-16 |
Last Update Date | 2010-11-04 |