| NPI | 1992868855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID W. KUNZ Managing Member 770-682-2024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: GA 029703) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: GA 029703) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |