| NPI | 1851605927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE OU Owner 404-418-6010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 044299) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 044299) |
| Enumeration Date | 2010-08-01 |
| Last Update Date | 2010-08-01 |