| NPI | 1801150479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LOKEY Medical Director 478-746-3116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: GA CHIR002819) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2012-06-28 |