| NPI | 1093887168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EHI PHILIP OSEHOBO Medical Director 678-688-1155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 049075) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2010-08-11 |