| NPI | 1225229693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIDYA KRISHNAMURTHY Owner/Physician 770-331-1660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 057528) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: GA 05728) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2016-05-23 |