| NPI | 1275650921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UNNISA FAIYAZ Physcian 770-487-7807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: GA 022087) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2008-01-24 |