| NPI | 1407186877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FIDELIA OSINUBI Physician 404-861-0291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA GA061309) |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2010-01-07 |