| NPI | 1235366345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC JAY TAWIL CFO/COO 770-434-7830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: GA 2009275) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: GA 2009275) |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2011-08-08 |