| NPI | 1023388071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DHAN PAREKH President 706-323-6317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: GA 26908) |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2012-01-09 |