| NPI | 1831540236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID T GADSDEN C.E.O 770-792-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: GA 5684) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-06-27 |