NPI | 1013940428 |
---|---|
Entity Type | Organization |
Authorized Contact | KALPANA J RAGHAVAN Co Owner 770-444-9981 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 038920) |
Enumeration Date | 2006-07-09 |
Last Update Date | 2007-12-05 |