| NPI | 1851894588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST AMUKAMARA President 678-232-3191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN201832) |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care (Licence: GA RN201832) |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-06-06 |