| NPI | 1841529096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDELL SMITH Doctor/Owner 770-787-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: GA 025674) |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2010-08-20 |