| NPI | 1548534522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES DANNY BOATRIGHT President 770-442-0901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 022513) |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2012-03-08 |