| NPI | 1205703303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORIUM CHOWDHURY Owner 678-437-1659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2025-10-22 |
| Last Update Date | 2025-10-27 |