| NPI | 1508062183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG JOHN CASTANET Doctor/Director 404-558-4015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: GA ch002767) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2023-04-12 |