| NPI | 1114976743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OBAFEMI OLUSEUN OKUWOBI President 770-414-0337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 050325) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2020-08-22 |