| NPI | 1699895961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LEACH Office Manager 770-676-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KI0005X Allergy & Immunology Clinical & Laboratory Immunology |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR005530) |
| 171100000X Acupuncturist (Licence: FL 000186) | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2022-07-21 |