| NPI | 1699221648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENUS BISKIS CEO 678-553-8682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: GA 007979) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-08-30 |