| NPI | 1780405100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORIUM CHOWDHURY Owner 678-437-1659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 363A00000X Physician Assistant | |
| 208D00000X General Practice | |
| Enumeration Date | 2024-10-18 |
| Last Update Date | 2026-07-03 |