| NPI | 1508298951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADIA G. CAMERON Owner 770-271-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 053982GA) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2013-08-07 |