| 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 | 2025-04-07 |