| NPI | 1407947740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHAVIN H JANI Physician 770-207-1316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: GA 044496) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2025-03-05 |