| NPI | 1588944771 |
|---|---|
| Former Legal Business Name | CLARKSTON FAMILY MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | MINBH THO HUYNH Sole Proprietor 404-299-7534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: GA 019886) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2011-08-19 |