NPI | 1487120820 |
---|---|
Entity Type | Organization |
Authorized Contact | REKHA KESAVAN Physician/Owner 678-296-5504 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
207RR0500X Internal Medicine, Rheumatology | |
Enumeration Date | 2018-10-23 |
Last Update Date | 2024-08-05 |