| NPI | 1518393818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY LORRAINE BREWER CEO/Owner 770-881-6205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN 85103) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2013-09-18 |