NPI | 1851759096 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL T AUTEN President And CEO 678-373-4406 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
Enumeration Date | 2016-02-02 |
Last Update Date | 2016-07-14 |