| NPI | 1255312815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD C. EVANS M.D./Owner 770-547-4157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: GA 009810) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2011-06-08 |