| NPI | 1154835965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRASANNA SRINAGESH President 912-285-2053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 66648) |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2017-12-01 |