| NPI | 1427435007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMISH TILARA President 678-878-4555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 261QR0200X Clinic/Center, Radiology | |
| Enumeration Date | 2015-05-02 |
| Last Update Date | 2023-06-30 |