| NPI | 1457936825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKEISHA BROWN CEO 404-786-9253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2021-04-12 |