| NPI | 1922349083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM C MILLER CEO 678-592-5847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-03-13 |