| NPI | 1467719849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINA JACOB President 404-273-6438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA 51477) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2012-04-23 |