| NPI | 1679760433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY FELICIA DAILEY-SMITH President 678-520-0834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 050472) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2008-02-26 |