| NPI | 1356331797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CONLEY Office Administrator 678-504-5999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility (Licence: GA 028500) |
| Additional Taxonomies | 261QA0006X Clinic/Center, Ambulatory Fertility Facility (Licence: GA 028500) |
| 261QB0400X Clinic/Center, Birthing (Licence: GA 028500) | |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical (Licence: GA 028500) | |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2008-04-20 |