| NPI | 1629883038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY P. FOTI Vice President And Secretary 404-231-4431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2025-02-12 |