| NPI | 1295175909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA MING-CHU DOYLE Owner 404-202-0194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 64026) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2013-06-26 |