| NPI | 1760565808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLANIYI OLABODE OSOFISAN M.D./Owner 770-529-7922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 053797) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2011-09-26 |