| NPI | 1841571213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUANA M SANCHEZ Medical Director 770-446-2820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 031536) |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2011-08-30 |