| NPI | 1013640242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE PENNINGTON MCNICHOLS Owner/Managing Member 404-819-7660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2022-07-06 |