NPI | 1558630947 |
---|---|
Entity Type | Organization |
Authorized Contact | RAMIN STEPHAN BAYANI President 404-255-0666 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: GA 38981) |
Enumeration Date | 2011-12-14 |
Last Update Date | 2011-12-23 |