| NPI | 1942460019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA G DINKINS Registered Dietian 404-361-1552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: GA LD002944) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2008-06-12 |