| NPI | 1649765686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA ANNE NILMEIER Director Of Revenue Cycle 404-616-8880 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2018-06-22 |