| NPI | 1033922216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UGOCHI GUCCI EZEALA Physician/CEO 470-870-6641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2025-01-30 |
| Last Update Date | 2025-01-30 |