| NPI | 1699077610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARACHELVI DHANDAYUTHAPANI Owner 706-660-5080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 52166) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AL MD.27736) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2019-05-20 |