| NPI | 1972720423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBI HOJDILA Billing Clerk 770-531-5641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |