| NPI | 1740724848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREE NECOLE MATTHEWS Billing Manager 678-613-2971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 46540) |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2016-12-07 |