| NPI | 1225567225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE AYOYINKA OMOTOSO Medical Director 678-932-8112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 053629) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2020-06-16 |