| NPI | 1922290865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN RENEE ROOKS Ap RN 770-214-8411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA RN123329) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2007-08-20 |