| NPI | 1326340829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LESLEY BARON Family Physician/President 770-469-1711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 0033273) |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2010-12-03 |