| NPI | 1285942086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XAVIER C MOORE President 404-396-5560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: GA 1012) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2012-01-27 |