| NPI | 1447075403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONAL SHAH Owner 404-944-5057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2024-11-15 |
| Last Update Date | 2024-11-15 |