| NPI | 1588025902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRAN OSHIFODUNRIN CEO 404-454-9721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2016-03-12 |
| Last Update Date | 2022-03-07 |