| NPI | 1548573884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD A KUKASWADIA Physician 678-501-5420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 43997) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2012-01-18 |