| NPI | 1477783108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLIE F CARMICHAEL Owner/President 404-276-8085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 22973) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2009-09-02 |