| NPI | 1922119163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA JOHNSON Nurse Manager 404-321-6111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA RN099782) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |