| NPI | 1518347467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON SINCLAIR SMITH Owner 770-593-4357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: GA 06733) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2015-06-05 |