| NPI | 1386827376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVINDER JERATH Physician 706-736-5378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 19957) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2007-12-12 |