| NPI | 1578799763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE ANNE ROBERTSON President And CEO 678-591-3542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2013-07-18 |