| NPI | 1043680341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAVITHA SHAMA Owner 678-827-9157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 046324) |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2016-07-19 |