| NPI | 1164687885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YASMIN ZAMAN Owner 770-979-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 023809) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: GA 023809) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-09-04 |