| NPI | 1356902746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANITA DUNN CEO 678-814-6562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2019-06-26 |