| NPI | 1710074505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ANTHONY TERRY President 770-489-2110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: GA RPH022455) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |