| NPI | 1306021795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINTON COPE MCNAIR President/CEO 678-778-8924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 016807) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-01-03 |