| NPI | 1427068188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH N/A NEGA Chief Medical Officer 770-692-1914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: GA 050546) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-08-22 |