| NPI | 1205334620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALENCIA W FLOURNOY Medical Consultant 404-579-2188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA 58124) |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2018-06-16 |