NPI | 1669653002 |
---|---|
Entity Type | Organization |
Authorized Contact | NAREN LOGENDRA President 678-714-2070 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 42336) |
Enumeration Date | 2007-11-14 |
Last Update Date | 2007-11-14 |