| NPI | 1699912519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAMILTON GRANGER WETZEL Owner 404-233-3386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: GA CHIR008201) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2009-01-14 |