| NPI | 1508950569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLIE C. ORRIS Office Manager 770-205-5581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 37636) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 37636) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2025-09-11 |