| NPI | 1790966976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONDI SADDIA MOORE-WATERS Medical Director 404-296-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 031294) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2010-03-04 |