| NPI | 1417670357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MBIANDA Medical Doctor/Owner 404-287-8862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 103T00000X Psychologist |
| 133V00000X Dietitian, Registered | |
| 207QA0505X Family Medicine, Adult Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 251F00000X Home Infusion | |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2022-09-26 |