| NPI | 1225316268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES W. DAVIS Owner 404-252-0301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: GA 031901) |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2011-07-25 |