| NPI | 1063947877 |
|---|---|
| Former Legal Business Name | RADIANT HEALTH FAMILY MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | NEVORN K ASKARI President 404-678-3351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2017-04-29 |
| Last Update Date | 2017-04-29 |