| NPI | 1205242039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANIL YADAV President 706-692-9768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN123413) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2014-07-01 |