NPI | 1982489555 |
---|---|
Doing Business As | MCDONOUGH CHILDREN'S SPECIALIST |
Entity Type | Organization |
Authorized Contact | MICHAEL W BROOKS CEO 404-752-1400 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2023-08-30 |
Last Update Date | 2023-09-06 |