| NPI | 1134913767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY CHURCHILL CEO 404-904-1991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2025-04-08 |
| Last Update Date | 2026-03-06 |