| NPI | 1346784055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREE NECOLE MATTHEWS Billing Manager 678-613-2971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 53032) |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2016-12-14 |