NPI | 1508461070 |
---|---|
Other Name | LEGACY PRIMARY CARE AND WELLNESS LLC |
Entity Type | Organization |
Authorized Contact | BETTY ELIZABETH STRONG Physician/Owner 770-703-8465 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2020-12-02 |
Last Update Date | 2021-08-12 |