| NPI | 1134544679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE D WEISMAN Physician/Owner 404-939-9220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA 50088) |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2016-08-31 |