| NPI | 1972367589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN WASHINGTON Owner/Chief Medical Officer 770-378-0942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2024-05-28 |