| NPI | 1114226719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA M HUCKINS-WHITE President 404-364-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: GA CHIR005803) |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2011-03-22 |