| NPI | 1114092202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD M ANTIN CEO 404-292-3810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA 036495) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2020-08-22 |