| NPI | 1023186384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLADAYO ADISA OSINUGA President 404-684-7111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 051703) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 051703) |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2020-08-22 |