| NPI | 1952484461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ROBERT CHARNITSKI President 770-834-8165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: GA CHIR001429) |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2020-08-22 |