| NPI | 1760257190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAXMI M NAIK Md 678-641-2408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2023-11-15 |