| NPI | 1295959880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN MITCHELL Clinic Director 770-614-4060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |