| NPI | 1629222419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN RENEE MAYFIELD Physician 770-655-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: GA 051355) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2009-02-02 |