| NPI | 1518246222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH HOWARD Practice Manager 770-781-8004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 37628) |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2018-05-18 |