| NPI | 1255731741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAFAR TABATABAI Owner 770-469-8874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: GA 14868) |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2014-09-03 |