NPI | 1811553084 |
---|---|
Doing Business As | MACLEY FAMILY PRACTICE AND WALK IN CLINIC |
Entity Type | Organization |
Authorized Contact | CLEMENT O AYANBADEJO Family Physician 678-257-2832 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2019-05-14 |
Last Update Date | 2020-12-31 |