| NPI | 1356689806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ALEXANDER JOHNSON Medical Director/Owner 770-942-6903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA 046866) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2013-01-28 |