| NPI | 1689767295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANOJ PATEL Physician 706-327-6296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 036632) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2024-01-29 |