| NPI | 1689737603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUSIBAU A IBRAHEEM Physician Owner 404-289-9784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: GA 052963) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2021-03-29 |