| NPI | 1417363797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONTE M STARKEY Owner/Member 678-951-3983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 71570) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2022-05-31 |