| NPI | 1245965813 |
|---|---|
| Other Name | STUDENT HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | SUSAN MARIE WHITMER Medical Director 404-413-1930 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2022-07-19 |