| NPI | 1578904280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WARD Managing Partner 678-822-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 31357) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-07-10 |