| NPI | 1285954214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARJINDER SINGH President 912-384-4540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: GA 039236) |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2010-06-01 |