| NPI | 1811434210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELIX I AMOA-BONSU Physician 770-824-4343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: GA 66254) |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2022-04-20 |