| NPI | 1114964467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOVORKA POLIC STOJANOV President 706-722-4378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: GA 052306) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2020-08-22 |