| NPI | 1902323876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSILAND HARRINGTON Managing Physician 678-705-8695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 070255) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2023-03-09 |