| NPI | 1194991695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY G COLEMAN Owner 770-532-9250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA 046837) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2016-05-02 |