| NPI | 1225372329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYATRI KAMAT Physician/Owner 478-333-6977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 47262) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 049458) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2013-01-30 |