| NPI | 1902495179 |
|---|---|
| Doing Business As | BIVINS GERIATRIC HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | VALERIE ELAINE FANNING President 404-820-0964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2021-01-13 |