| NPI | 1275041287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YIMING LIN Owner 678-779-6007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: GA 000344) |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2018-01-12 |