NPI | 1164095626 |
---|---|
Entity Type | Organization |
Authorized Contact | MUHAMMAD SHABBIR HASHMI Owner 470-835-1245 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice |
261QU0200X Clinic/Center, Urgent Care | |
Enumeration Date | 2021-07-22 |
Last Update Date | 2024-10-01 |