| NPI | 1740686609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALBA GOMEZ Office Manager 404-608-7449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA 038785) |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2014-11-05 |