| NPI | 1871062489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIE SIMS CEO 678-961-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP1100X Clinic/Center Podiatric |
| 261QU0200X Clinic/Center Urgent Care | |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2023-12-31 |