| NPI | 1073563037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER E OSOWA Physician/Owner 678-541-0588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine (Licence: GA 057551) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2020-08-22 |