| NPI | 1144388174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | H RON H DAVIDSON Executive Administrator 404-459-3473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0006X Clinic/Center, Ambulatory Fertility Facility |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2011-08-03 |