| NPI | 1548567019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BARNES HAMMOCK Owner 678-384-3480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA RN138345NP) |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2011-12-19 |