| NPI | 1104155712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS CALDWELL COLLINS Director 404-314-9899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 020092) |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2009-12-09 |