| NPI | 1154336899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN EVERETT MULLINS President 770-466-9990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: GA 2134) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-08-22 |