| NPI | 1891937330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL O JOHNSON President 770-214-1332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: GA 026137) |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2009-03-30 |