| NPI | 1134775208 |
|---|---|
| Former Legal Business Name | NAESM MENS HEALTH AND WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | RUDOLPH H CARN President/Board Chair 404-660-0527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2024-06-17 |