| NPI | 1053797183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLU JABATI CEO 678-559-4526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: GA 058527) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2015-07-30 |