| NPI | 1801948369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAKOORA OMONUWA Doctor 404-767-8884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: GA 037895) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |