| NPI | 1174732747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANEL HUANG Clinic Director 678-591-0241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: GA 038843) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |