| NPI | 1598389637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIA UDOKORO NWAKANMA CEO/Medical Provider 770-835-5305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-09-11 |