| NPI | 1255585022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY BRIAN STRATFORD Owner 478-272-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: GA CHIR008397) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2008-11-06 |