| NPI | 1255562757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA WILLIAMS Office Manager 770-955-2046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 015440) |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2009-07-31 |