| NPI | 1902290570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHALIE CELESTIN-WATSON Credentialing Liaison/ Owner 470-209-8177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2016-01-28 |