NPI | 1508139031 |
---|---|
Other Name | N/A |
Entity Type | Organization |
Authorized Contact | BETTY ELIZABETH STRONG Physician/Owner 678-289-9002 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 39485) |
Enumeration Date | 2012-02-14 |
Last Update Date | 2012-02-24 |