| NPI | 1841789914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY PATTERSON MILNER Medical Physician/Owner 678-580-1149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X (Licence: GA 59562) |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2018-06-28 |