| NPI | 1326223314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A. PURPURA Owner 770-887-7234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA GA2140) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-01-08 |