| NPI | 1487923744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME HERNAN SACOTTO Owner 404-321-5151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 045606) |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2011-12-15 |