| NPI | 1356526305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLADAYO ADISA OSINUGA Medical Director/Owner 770-288-3883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 51703) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 057161) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN178172NP) | |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2023-03-07 |