NPI | 1710270343 |
---|---|
Entity Type | Organization |
Authorized Contact | JANET ELIZABETH WILLIAMS President 770-692-2797 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 125883) |
Enumeration Date | 2011-05-16 |
Last Update Date | 2011-05-16 |