| NPI | 1417442047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANDANA SETIA Owner LLC 706-546-9838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 42721) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-06-26 |