| NPI | 1174783435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANG SOO KIM President 770-614-9799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 59806) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2012-01-26 |