| NPI | 1538333497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKHAIL GOROKHOV Family Practice 404-320-6050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 039353) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: GA 042048) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2013-10-24 |