| NPI | 1548838485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK WRIGHT Managing Member 470-895-0610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2026-06-30 |