| NPI | 1477285203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIOLET KATO Nurse Practitioner 404-932-2455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| 207QA0505X Family Medicine, Adult Medicine | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2022-06-29 |