| NPI | 1154530673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT HARRELL GUNN M.D. 404-768-4343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: GA 015474) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |