| NPI | 1144891524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY GENE SCHNELLINGER Chief Executive Officer 470-236-6366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 208000000X Pediatrics |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2021-07-07 |