| NPI | 1699150797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANKLIN DANIEL DIAZ President 770-513-8028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA 032374) |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2015-07-30 |