| NPI | 1902236656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLAKUNLE AJIBOLA Chief Medical Officer 404-721-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 064750) |
| Enumeration Date | 2013-11-16 |
| Last Update Date | 2013-11-16 |