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 |