| NPI | 1194135459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAHRA MAS Practice Manager 404-817-8171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: GA 024621) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2014-05-07 |