| NPI | 1619097573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVIER E FERNANDEZ Director 404-754-1914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: GA 139425LGB) |
| Enumeration Date | 2007-04-01 |
| Last Update Date | 2020-08-22 |