| NPI | 1417408576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINA ALEXANDER Billing Manager 770-831-5525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: GA 59849) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2017-10-27 |