| NPI | 1932374352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMACARRIE G BROWN Owner 404-579-4349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: GA 059377) |
| Enumeration Date | 2008-04-26 |
| Last Update Date | 2008-04-26 |