| NPI | 1154924637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE WILLIAMS Medical Director 770-964-0611 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2024-03-27 |