| NPI | 1992323398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA MADU Owner 770-549-0495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2020-07-12 |
| Last Update Date | 2024-06-26 |