| NPI | 1548536808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY ANN MCWILSON President 770-987-0897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: GA 044-01-434-1) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2012-03-30 |