| NPI | 1619399367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANA MAKHDUMI President 706-850-8322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA 69027) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-01-15 |