NPI | 1235433418 |
---|---|
Entity Type | Organization |
Authorized Contact | PRIYA CHOYAN PALLIYIL Md 770-667-0810 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 053869) |
Enumeration Date | 2011-01-03 |
Last Update Date | 2011-03-29 |