| NPI | 1740641406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDETTE ANGELLA JOHNSON Nurse Practitioner 404-692-6907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2017-01-24 |