| NPI | 1538434311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUBUNMI A AYENI Office Manager 678-289-8338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA 43534) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2020-03-12 |