| NPI | 1821638149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE U ANUFORO Medical Director 404-697-1445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2024-09-05 |