| NPI | 1790942191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA ANN MILLIORN Office Manager 770-888-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: GA 208000000x) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |