| NPI | 1659592137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHABBIR MOTIWALA Md 706-685-2770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: GA 036581) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |