NPI | 1962740001 |
---|---|
Entity Type | Organization |
Authorized Contact | TYRONE C MALLOY Owner 404-892-3239 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility (Licence: GA 23086) |
Additional Taxonomies | 261Q00000X Clinic/Center (Licence: GA 23086) |
Enumeration Date | 2013-01-24 |
Last Update Date | 2013-01-24 |