| NPI | 1659049989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEMITOPE AKINYELE Manager 678-310-5934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 342000000X |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2022-02-22 |