| NPI | 1649586595 | 
|---|---|
| Doing Business As | INTERNAL MEDICINE OF MARIETTA | 
| Entity Type | Organization | 
| Authorized Contact | ANUPAMA RAVIKANTH Owner 770-771-5470 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 048297) | 
| Enumeration Date | 2010-08-28 | 
| Last Update Date | 2014-01-15 |