| NPI | 1912191446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA FLOYD Practice Administrator 404-252-7339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2007-08-28 |