| NPI | 1992959118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAID FRANKLIN FOWLER Phyician/President 404-303-8665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA GA028403) |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2008-11-14 |