| NPI | 1144337023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEEVANA KRISHNA Owner 770-205-1274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 032759) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2010-08-17 |