| NPI | 1548671936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARI L DIANICH Owner 404-388-3996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA CHIR005135) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2014-05-19 |