| NPI | 1912240110 |
|---|---|
| Other Name | 60 NC HIGHWAY 125 BHS |
| Entity Type | Organization |
| Authorized Contact | JENNIFER D LOZANO Director Of Revenue Cycle 404-968-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2015-09-07 |