| NPI | 1487216602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PALDEEP SINGH ATWAL Director 904-364-9985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) |
| Additional Taxonomies | 207SG0202X Medical Genetics, Clinical Biochemical Genetics |
| 261QG0250X Clinic/Center, Genetics | |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2024-03-27 |