| NPI | 1548252125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELITO HENRITO K JAO President 770-267-4711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 029685) |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2007-09-18 |