| NPI | 1831321280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN E HUDGINS Office Manager 770-889-0006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 023840) |
| Enumeration Date | 2009-08-19 |
| Last Update Date | 2009-08-19 |