| NPI | 1124207261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY LAWRENCE WEHUNT Owner/Doctor 770-443-3335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 025847) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2007-12-10 |