NPI | 1316643315 |
---|---|
Doing Business As | H.E.R.O CARE CLINIC |
Entity Type | Organization |
Authorized Contact | VICTORIA RANDLE Provider 770-726-3577 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
Enumeration Date | 2023-02-01 |
Last Update Date | 2024-03-01 |