| NPI | 1104985431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND L SCHETTINO CFO 770-343-8675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: GA 025267) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 032814) |
| 174400000X Specialist (Licence: GA 037833) | |
| 174400000X Specialist (Licence: GA 043827) | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |