| NPI | 1851015176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE PALMER Member 404-447-4007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2022-09-29 |
| Last Update Date | 2025-06-18 |