| NPI | 1831338136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL B. VICKERY Owner 770-704-4911 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2009-02-10 |