| NPI | 1134132921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEEP SHAH Authorized Official 770-995-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 363L00000X Nurse Practitioner | |
| 173000000X Legal Medicine | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2023-01-25 |