| NPI | 1174742621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMAD UDDIN AHMED President 706-543-3130 |
| Organization Subpart ? | |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: GA 045157) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2023-09-06 |