| NPI | 1992347587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN OLUBUNMI IFARINDE Director 770-285-7879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2020-10-13 |