| NPI | 1205851003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APPAVUCHETTY SOUNDAPPAN Physician 478-988-3060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 044107) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2009-07-16 |