| NPI | 1053867929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA BLACK Founder 404-981-6278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 056266) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-08-30 |