| NPI | 1275781759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEDRA REGINA DODDS Physician/Owner 770-591-3429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: GA 039170) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2008-09-09 |