| NPI | 1902108467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE ANN SCHRAUB CEO 770-207-5454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: GA CHIR006524) |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2010-12-03 |