| NPI | 1134501422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE ASHE Executive Director Of Finance 470-644-0095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2020-02-24 |