| NPI | 1275722654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS HOURIN President 770-310-2204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: GA CHIR008064) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2012-02-14 |