| NPI | 1689779753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | URSULA P. WHALEN Clinical Instructor 404-686-1606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 54695) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA 54695) |
| 261QU0200X Clinic/Center, Urgent Care (Licence: GA 54695) | |
| 282N00000X General Acute Care Hospital (Licence: GA 54695) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2023-03-07 |