| NPI | 1700131836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOSHA ROGERS Physician/Owner 678-705-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: GA 064644) |
| Enumeration Date | 2012-07-15 |
| Last Update Date | 2022-12-30 |