| NPI | 1245563097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ACHIH CHEN Physician 706-210-2625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA 053030) |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2009-09-11 |