| NPI | 1548271026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEEP SHAH Authorized Official 770-995-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 173000000X Legal Medicine |
| 207K00000X Allergy & Immunology | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 207X00000X Orthopaedic Surgery | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2023-01-24 |