| NPI | 1104955830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES R WILLIAMSON President Owner 770-921-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN007821) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |