NPI | 1568466035 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN G SPARTI President/Physician 770-445-1095 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 16148) |
Enumeration Date | 2005-06-12 |
Last Update Date | 2010-12-08 |