| NPI | 1952006223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITZI COLLINS Authorized Official 470-421-8638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2023-04-27 |