| NPI | 1659523207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN MATTHEW MILES President 770-251-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: GA 052084) |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2008-10-15 |