| NPI | 1629374418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASWANT S CHADDHA Owner 770-920-9745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA 35023) |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2012-03-05 |