| NPI | 1437668548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS ALFREDO NARANJO President Of Corporation 770-951-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2022-07-21 |