| NPI | 1497926083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOELLE SOLOMON Manager 770-232-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: GA 041355) |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2008-03-21 |