NPI | 1285410571 |
---|---|
Entity Type | Organization |
Authorized Contact | MEGAN WRIGHT Clinical Director 404-904-5558 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2023-09-04 |
Last Update Date | 2024-01-26 |