| NPI | 1285786541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J KUZIO Owner 678-354-0230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 040714) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2010-09-07 |