NPI | 1154447043 |
---|---|
Entity Type | Organization |
Authorized Contact | KOLA OLOGUNJA President 770-966-0778 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA 050548) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2008-05-19 |