| 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 |