| NPI | 1184376931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTEL ANTOIN BROWN Owner 770-990-4699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 291U00000X Clinical Medical Laboratory | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2022-02-16 |