| NPI | 1427377597 |
|---|---|
| Doing Business As | MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JEAN P. NAZAIRE M.D 770-962-0041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: GA 060225) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2010-05-27 |