| NPI | 1184703779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLU MOHAMED JABATI CEO 770-997-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: GA 058527) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2015-07-16 |