| NPI | 1437576659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIUS KOLAWOLE ADEBISI Medical Director 678-319-9901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 58939) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2014-03-26 |