| NPI | 1750934857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UCHENNA PETER KALU Medical Director 470-250-1418 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2024-05-15 |