NPI | 1366082596 |
---|---|
Doing Business As | ROCK PRIMARY CARE & WELLNESS CLINIC |
Entity Type | Organization |
Authorized Contact | KIMBERLY R FITZGERALD CEO/ Nurse Practitioner 404-822-4051 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2020-01-15 |
Last Update Date | 2020-01-15 |