| NPI | 1851708820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN J. RODBELL Owner 404-745-4578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 31923) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |