| NPI | 1205689171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVANYA SUNDER CEO 404-860-3441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 251E00000X Home Health |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QR1300X Clinic/Center, Rural Health | |
| 314000000X Skilled Nursing Facility | |
| Enumeration Date | 2024-04-09 |
| Last Update Date | 2024-10-08 |