| NPI | 1659552115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOHANNES A BELACHEW Owner 404-477-1218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2022-07-21 |