| NPI | 1134396039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE TUCKER President 770-315-6797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: GA 022068) |
| Enumeration Date | 2008-05-11 |
| Last Update Date | 2008-05-11 |