| NPI | 1487736138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOHEL MOMIN AO 770-844-0877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2023-12-04 |