| NPI | 1649772880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESHAWNDA GARNETT Family Nurse Practitioner 404-312-3984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2018-03-04 |
| Last Update Date | 2021-03-01 |