| NPI | 1982933487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS HOURIN President 678-214-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: GA CHIR008064) |
| Enumeration Date | 2009-12-11 |
| Last Update Date | 2010-06-25 |