| NPI | 1427763796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY F HUMAN Owner 678-689-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
| Enumeration Date | 2023-01-20 |
| Last Update Date | 2023-01-20 |