| NPI | 1679633283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE N. BUCHANAN Executive Director 404-658-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: GA R126178) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-06-23 |