| NPI | 1518746445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARAZ F ALWANI Owner 678-630-3169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2023-09-28 |
| Last Update Date | 2023-10-02 |