| NPI | 1134257827 |
|---|---|
| Former Legal Business Name | CHRIS |
| Entity Type | Organization |
| Authorized Contact | DAN JAMES BELLOR Clinic Administrator 404-486-9034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2019-03-30 |