| NPI | 1801138045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKSHMI MANDAVILLI Billing Manager 404-944-7914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-06-25 |