| NPI | 1306013594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRANDATHY RODRIGO Business Owner 678-225-5540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 042715) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |