| NPI | 1568125524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE BOTOS CLARK Founder 770-750-5099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2021-10-18 |
| Last Update Date | 2021-10-18 |