| NPI | 1144465147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARTI GANJU RAINA Owner 770-781-1606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: GA 45591) |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2008-12-05 |