| NPI | 1588024251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SCURLOCK Physician Managing Member 404-966-0385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2016-02-24 |