| NPI | 1316277858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLYNN ROCHELLE RICHARDS Owner 404-272-1724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 038930) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2011-10-03 |