| NPI | 1407017965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS MOSELEY Chief Medical Officer 404-853-2097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: GA RN113001) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2008-06-18 |