| NPI | 1568904712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATLEE T WAMPLER IV CEO/Owner 678-524-6828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MD D0068492) |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-11-04 |