| NPI | 1598000234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY IDRIS Owner/CEO 770-256-7033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: GA 39485) |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2012-12-06 |