| NPI | 1811169378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J MORIBALDI Owner 770-649-1730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA ga005452) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-03-25 |