| NPI | 1104033315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH GHAYOURI Doctor Owner 770-979-1544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 017573) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 039109) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |