| NPI | 1376725978 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | RONALD STEVEN WATTS Owner 770-389-9494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: GA 044862) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2021-06-13 |