| NPI | 1003554726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHAUN ELLIOTT Owner 678-819-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| 261QP3300X Clinic/Center Pain | |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2023-08-14 |