| NPI | 1386949394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY JOHN GONZALEZ President 404-981-6337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: GA 00224953) |
| Enumeration Date | 2011-01-22 |
| Last Update Date | 2011-01-22 |