| NPI | 1265995724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTI G KIRKLAND Revenue Cycle Director 678-284-4049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2023-12-11 |