| NPI | 1255037636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISHEVA FAKHERI Nurse Practitioner 404-877-8335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2024-05-20 |