| NPI | 1518529502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITESHKUMAR K PATEL CEO, Md 404-545-3885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2019-07-01 |