| NPI | 1780863324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA S SAMRAJ President 706-653-2226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA 046322) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2023-03-31 |