| NPI | 1922133768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN ELIZABETH CONNELLY Practice Manager 678-672-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-04-29 |