| NPI | 1487993085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY B BENNETT Director 678-895-0216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: GA 056526) |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2013-02-04 |