| NPI | 1467895359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JATIN PATEL President/ Owner 770-284-3150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA 69125) |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2025-08-13 |