| NPI | 1902037872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ROY BURNS Physician 770-532-8441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 009979) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2009-07-27 |