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 |