NPI | 1386763514 |
---|---|
Entity Type | Organization |
Authorized Contact | FELICIA BARRETTE Billing Manager 404-256-1727 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA BL02-00353) |
Enumeration Date | 2007-03-28 |
Last Update Date | 2020-12-11 |