| NPI | 1295382778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JITESH VINOD PATEL CEO & President 678-751-3274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2025-06-27 |