| NPI | 1134751068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVIN G PERRY Owner 470-502-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2020-02-08 |
| Last Update Date | 2024-10-17 |