NPI | 1154213353 |
---|---|
Entity Type | Organization |
Authorized Contact | TRUC NGUYEN Clinic Medical Director / Owner 770-789-9497 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2025-07-21 |
Last Update Date | 2025-07-21 |