| NPI | 1205625381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH BREINER Legal Counsel 404-271-6074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN |
| 207Q00000X Family Medicine | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2025-05-26 |