| NPI | 1437306370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ANN RICHARDSON Office Manager 770-508-8931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 060976) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2008-08-21 |