| NPI | 1013330364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAXIT R PATEL Physician 470-956-8364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA 64951) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: GA 64951) |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2020-02-24 |