NPI | 1497954093 |
---|---|
Entity Type | Organization |
Authorized Contact | MARCI HUNT Billing Manager 404-351-5812 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA 029604) |
Enumeration Date | 2007-07-13 |
Last Update Date | 2010-08-23 |