| NPI | 1205886249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDAL COWAN Nuclear Medicine Technologist 678-205-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: GA 2006OCC0013) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2020-08-22 |