| NPI | 1932882578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX JUTIS CEO 678-730-6240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2023-08-10 |
| Last Update Date | 2023-08-10 |