| NPI | 1992671242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES C CRAIG Owner / Cmo 770-720-5011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| 2083A0300X Preventive Medicine, Addiction Medicine | |
| Enumeration Date | 2025-10-14 |
| Last Update Date | 2025-10-14 |