| NPI | 1548516164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA HOLCOMB Office Manager 770-334-2485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: GA 172939) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2012-08-01 |