| NPI | 1811097181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER SCOTT CROOKER Owner 770-277-8554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 039315) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2008-05-28 |