| NPI | 1508915919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA D JACKSON Vice President 770-692-5910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: GA 035913) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2013-08-15 |