| NPI | 1780374645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA SALCIDO CEO 770-797-5167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2023-05-12 |
| Last Update Date | 2023-05-12 |