| NPI | 1669918892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVON MARSHALLE RAMBERT-HAIRSTON Owner 678-793-1383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NC 213123) |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-01-11 |