| NPI | 1487056586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE REED Chief Executive Officer 404-857-9575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 103TC1900X Psychologist, Counseling | |
| 207QS0010X Family Medicine, Sports Medicine | |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2020-07-15 |