| NPI | 1659401487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE S BAJNATH Credentialing Manager 404-756-5752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 51) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2018-03-28 |