| NPI | 1437194156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA MALIK-ROE CFO 678-504-6392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2024-08-26 |