| 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 |