| NPI | 1750464392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON GRANGE WILLIAMS Office Manager 404-256-4457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: GA 014914) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |