| NPI | 1225551328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYESH D PATEL Business Owner 478-365-2164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RA0201X Internal Medicine Allergy & Immunology |
| 261QP2300X Clinic/Center Primary Care | |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2024-01-21 |