| NPI | 1104520477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ALTMAN CEO 478-401-0477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2025-03-15 |