| NPI | 1518415199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKI PATEL Authorized Official 478-955-2226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 278307) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2016-09-13 |