| NPI | 1477912475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEALE P. FREEMAN Owner 678-585-4787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA 040065) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-02-18 |