| NPI | 1225627599 |
|---|---|
| Doing Business As | MIDTOWN PEDIATRICS & PRIMARY CARE |
| Doing Business As | MIDTOWN PSYCHIATRY |
| Entity Type | Organization |
| Authorized Contact | DANIELLE IBELEMA Physician Owner 678-322-8138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2021-01-12 |
| Last Update Date | 2021-01-12 |