| NPI | 1215521752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL MILLER CEO 678-967-5599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2022-12-19 |