| NPI | 1821461484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALARIE WRIGHT MANLEY Physician 678-817-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA RN090519) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2015-11-04 |