| NPI | 1336856681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL MILLER CEO 678-967-5599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2022-12-20 |