| NPI | 1811779929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALIMATOU DIALLO Owner 404-777-5285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2023-10-16 |