| NPI | 1487797049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMIN STEPHAN BAYANI Manager 770-778-9290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: GA 016356) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |