| NPI | 1104789247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAXINE OWUSU Director 404-717-3014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| 173000000X Legal Medicine | |
| 363LW0102X Nurse Practitioner, Women's Health | |
| Enumeration Date | 2025-12-05 |
| Last Update Date | 2026-02-04 |