| NPI | 1497969216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARNOLD DOLLAR GASKIN Medical Director 770-745-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: GA 036382) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |