| NPI | 1831597103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW JAMES MALINCHAK Physician 770-788-9199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 044012) |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2014-12-18 |