| NPI | 1528831138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN DUNCAN BINSTOCK Partner Provider 678-926-3834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2023-11-06 |