| NPI | 1619992138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRZA W AHMED Owner 478-741-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 332900000X Non-Pharmacy Dispensing Site | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2010-12-03 |