NPI | 1669894622 |
---|---|
Entity Type | Organization |
Authorized Contact | KAVITA KOTTE Chief Medical Officer 404-808-7283 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 66516) |
Enumeration Date | 2014-01-10 |
Last Update Date | 2014-01-21 |