| NPI | 1730770074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANDI FAULK Director Of Billing Operations 678-679-6471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2021-03-30 |