| NPI | 1316712672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDEEP JAGLAN Physician/Owner 770-296-9768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2023-11-16 |