| NPI | 1235446394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE LEO GOLUSINSKI Owner 404-577-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 038777) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: NC 20330) |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2010-09-09 |