| NPI | 1225417058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIRAL LAVANIA Ownder/Pediatrician 678-962-7337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2024-07-17 |