| NPI | 1003426628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SATISH B PODDAR Md 678-344-8700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207T00000X Neurological Surgery |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-08-07 |