| NPI | 1912179649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANIS N ANTHONY-WADE President 770-287-8953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 050124) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2016-11-29 |