| NPI | 1871814970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL ANGEL HERNANDEZ Director 404-209-1408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 022351) |
| Enumeration Date | 2010-06-13 |
| Last Update Date | 2010-06-13 |