| NPI | 1013786458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN UME Owner 678-585-1901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2023-12-27 |
| Last Update Date | 2024-01-12 |