NPI | 1780027284 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFF H YE Physician Owner/Manager 770-346-0900 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 66110) |
Enumeration Date | 2013-04-15 |
Last Update Date | 2014-05-07 |