| NPI | 1982216503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMEKA DUNCAN Owner 470-489-7917 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 247ZC0005X Pathology Clinical Laboratory Director, Non-physician |
| Additional Taxonomies | 251B00000X Case Management |
| 101Y00000X Counselor | |
| 251S00000X Community/Behavioral Health | |
| 261QC1500X Clinic/Center Community Health | |
| 177F00000X Lodging | |
| 261QH0100X Clinic/Center Health Service | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 291U00000X Clinical Medical Laboratory | |
| 305R00000X Preferred Provider Organization | |
| 3747P1801X Technician Personal Care Attendant | |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2025-05-15 |