| NPI | 1740550896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIRMALA BHARADWAJ Pediatrician, Owner 678-804-9398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 044838) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-01-06 |