| NPI | 1225242399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMAD GHADAMYARI Member 770-452-4288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 032558) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR006529) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2025-09-11 |