| NPI | 1710922075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIRE K WILLIE Physician/Owner 770-907-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 039177) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2011-08-02 |