NPI | 1881730455 |
---|---|
Doing Business As | MAIN STREET FAMILY PHYSICIANS |
Entity Type | Organization |
Authorized Contact | CONNIE H. KELLER Office Manager 770-422-1400 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 581584420) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2012-10-22 |