| NPI | 1780851436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRILAKSHMI REBALA Physician/Owner 706-546-7484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 051081) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2012-02-19 |