| NPI | 1750565180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA BABCOCK President 678-927-9027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA 59368) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2007-12-20 |