| NPI | 1437432358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAREED Z KADUM Owner/President 770-334-8818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA GA022993) |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2013-07-23 |