| NPI | 1598172769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELLA CHARLES-PRYCE Medical Director 770-296-9193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 058155) |
| Enumeration Date | 2014-07-19 |
| Last Update Date | 2014-07-19 |