| NPI | 1609502335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMENA SAMAR Owner 770-656-7743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2024-02-23 |