| NPI | 1063068898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OKEY ILOEGBUNAM Owner / Member Manager 770-688-6691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2020-03-13 |