| NPI | 1780083188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMINA HASSANALI Owner 404-610-8821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 45494) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-08-21 |