| NPI | 1093109274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANVI DESAI Primary 404-719-9539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: GA CHIR009447) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2025-09-18 |