| 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 |