| 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 |