| NPI | 1447313291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASONGIA MORTON Owner 404-396-6033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA 046185) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |