| NPI | 1558416198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RADHIKA MUDIYALA Internal Medicine & Geriatrics 678-303-5082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: GA 051069) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2016-04-11 |