| NPI | 1376864538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM FRANK BURKE Director, Clinical Services 770-334-2493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2010-06-22 |