NPI | 1568517720 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBBIE DEAN Office Manager 770-422-0444 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: GA 34376) |
Additional Taxonomies | 174400000X Specialist (Licence: GA 003649) |
Enumeration Date | 2007-01-25 |
Last Update Date | 2010-02-08 |