| NPI | 1386855740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER OSOWA Physician Owner 678-541-0588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 057551) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2019-01-30 |