| NPI | 1518086081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAVANI KUMARI PANDIRI President 770-797-3989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 048015) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |