| NPI | 1174851919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOGAN ALLEN VP Client Operations 678-252-2137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 046202) |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2009-12-04 |