| NPI | 1477052835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO ANIBAL VARGAS Owner 404-575-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA FD3356575) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR007618) |
| 225100000X Physical Therapist (Licence: GA PT010743) | |
| 363L00000X Nurse Practitioner (Licence: GA RN213563) | |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2018-03-19 |