| 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 |