| NPI | 1942555461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WILLIAM WOLFE Chief Financial Officer 706-507-5660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1100X Clinic/Center, Research (Licence: GA 11077869) |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2012-07-20 |