NPI | 1548028012 |
---|---|
Entity Type | Organization |
Authorized Contact | ONYEBUCHI NWAOKOLO CEO 404-706-6371 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
363LP2300X Nurse Practitioner, Primary Care | |
Enumeration Date | 2024-03-11 |
Last Update Date | 2024-03-11 |