| NPI | 1740407550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN WAYNE LEARD Owner Physician 678-289-0103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 040449) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |