| NPI | 1952904369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH KIRPICH Owner/Medical Director 678-699-1332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2021-02-04 |