| NPI | 1629345681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAILESH KOTHARI CEO 770-938-2625 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2012-05-02 |