| NPI | 1962820845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND ELIAS GUTIERREZ Medical Director 770-557-4220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2015-01-15 |