| NPI | 1023857489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCRETIA MICHELLE MARTIN JOSEPHS Nurse Practitioner 770-648-5333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-05-23 |
| Last Update Date | 2024-05-23 |