NPI | 1740257435 |
---|---|
Entity Type | Organization |
Authorized Contact | ANITA SMITH President 770-955-9477 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 052228) |
Enumeration Date | 2006-03-02 |
Last Update Date | 2020-08-22 |