| NPI | 1508130758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARAD PATEL Vice President 404-858-3834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 1100007204) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-03-06 |