| NPI | 1801303037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZUBAIR SADIK CFO 770-335-3340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 068936) |
| Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-05-09 |