| NPI | 1467989574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM E RICHARDSON Owner 770-419-4471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2017-05-19 |