| NPI | 1093109274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANVI DESAI Owner 404-509-5524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: GA CHIR009447) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2019-08-20 |