| NPI | 1538495742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTEBAN GUADERRAMA Practice Administrator 770-844-3242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA 031835) |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2021-06-09 |