| NPI | 1871669358 |
|---|---|
| Doing Business As | GRANT PARK CLINIC |
| Entity Type | Organization |
| Authorized Contact | TERRY W. WOOD Director 404-627-4259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |