| NPI | 1548413206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUN H RO President 770-814-9672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: GA 050671) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |