| NPI | 1427443217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE O ABBEY Associate 678-866-3596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 215132) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2016-01-29 |