| NPI | 1124297163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER TKESHELASHVILI KESSLER President 770-345-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA 050647) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: GA 050647) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2015-11-16 |