| NPI | 1346488707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MARK SCHLOSSBERG Owner 770-822-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 044330) |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2009-01-23 |