| NPI | 1316144058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARY M KELLY Executive Vice President 770-996-2630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 031630) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2010-10-05 |