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 |