| NPI | 1861915647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOELLE SMITH Practice Manager 770-634-8905 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 059986) |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2025-03-20 |