| NPI | 1518459940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHRAVANTIKA BAIMEEDI REDDY CEO 470-239-8005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 066310) |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2018-06-01 |