| NPI | 1598129199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL-ANN ELIZABETH COZIER-DOUGLAS President 770-389-1901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: GA CHIR06312) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-08 |