NPI | 1477865681 |
---|---|
Entity Type | Organization |
Authorized Contact | ROSA FIGUEROA Practice Administrator 404-537-2521 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: GA 054263) |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2010-07-06 |
Last Update Date | 2024-05-06 |