NPI | 1184879843 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE LYNN PLASTER Physician/Director 770-464-0280 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 061639) |
Enumeration Date | 2008-11-22 |
Last Update Date | 2015-09-04 |