| NPI | 1952460149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY MCGUIRE Office Administrator 770-929-0813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 33847) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |