| 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 |