NPI | 1629254008 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM CHESTER WARREN CEO/Founder/President 404-523-6571 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
Enumeration Date | 2008-01-15 |
Last Update Date | 2022-07-21 |