NPI | 1013321702 |
---|---|
Entity Type | Organization |
Authorized Contact | SAFIA PIRANI Owner/Provider 678-580-0950 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 056624) |
Enumeration Date | 2014-06-20 |
Last Update Date | 2023-03-07 |