| NPI | 1487047049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRA IHEME President 770-724-8093 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: GA 00222568) |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2015-03-06 |