| NPI | 1144467945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA TELFORD Owner/Administrator 404-326-9250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 050740) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2009-01-15 |