| NPI | 1427407428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY A DONOHUE Owner 770-402-9602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AL MD17416) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-06-09 |