NPI | 1437194156 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANDI FAULK Vice President, Billing Operations 678-679-6471 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
Enumeration Date | 2006-06-17 |
Last Update Date | 2025-09-24 |