| NPI | 1861503906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA B. GREEN-CLOPTON CFO/ Business Manager 404-349-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 043019) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |