| NPI | 1992977466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN GREEN President 770-427-2799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: GA chir002560) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2011-05-02 |