| NPI | 1942352778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI YVONNE ACKER Practice Administrator 404-284-7744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 044791) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2011-12-07 |