NPI | 1992534895 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMUEL GEORGE SHANINE Practice Manager 470-684-6262 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2024-07-29 |
Last Update Date | 2024-07-29 |