| NPI | 1679153407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARUNA REDDY PRAKASH Administrator 404-641-3345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2021-04-14 |