| NPI | 1750916664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELLA WHILBY-PEART Administrator 404-748-5047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| 251K00000X Public Health or Welfare | |
| 253Z00000X In Home Supportive Care | |
| 293D00000X Physiological Laboratory | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2025-11-22 |