| NPI | 1326317520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOB B BAGHERI President 770-886-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 040865) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 050209) |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2011-12-19 |