| NPI | 1396013322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLON ANGELA MCALLISTER Owner 770-446-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 61299) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2011-12-05 |