| NPI | 1497313258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATIMA ELIZABETH KASIAH Owner/Administrator 470-819-4849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2020-12-23 |