| NPI | 1922204361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD F MCDONALD President 770-771-6916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA 041890) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2008-02-27 |