| NPI | 1255157186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA BROWN Owner/CEO 470-953-7381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QG0250X Clinic/Center, Genetics | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 305S00000X Point of Service | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2024-11-25 |