| NPI | 1366677304 |
|---|---|
| Doing Business As | PICR CLINIC |
| Entity Type | Organization |
| Authorized Contact | SUZANNE HONG MARGESON President 770-986-3885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA LD000845) |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2014-06-16 |