| NPI | 1326237355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY J LEWIS President 770-532-0666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: GA 049052) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2018-10-29 |