| NPI | 1457239741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARNELLE AMBO Owner 404-640-7367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| 225XL0004X Occupational Therapist Low Vision | |
| Enumeration Date | 2025-08-25 |
| Last Update Date | 2025-10-07 |