NPI | 1437433190 |
---|---|
Entity Type | Organization |
Authorized Contact | JUDITH D DELIMA Physician/Owner 770-267-2790 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 028528) |
Enumeration Date | 2011-09-29 |
Last Update Date | 2011-09-29 |