| NPI | 1619209905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASHIF NASEEM President 706-496-2573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208D00000X General Practice (Licence: GA 58109) |
| 207Q00000X Family Medicine (Licence: GA 58109) | |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2013-07-31 |