| NPI | 1821603648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA VU Owner 678-849-9457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |