| NPI | 1275047938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC MABO Owner 678-825-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2017-11-16 |