| NPI | 1801779244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELINA ZHU Credentialing COO Rdinator 678-871-2188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 2085R0202X Radiology Diagnostic Radiology | |
| 208VP0000X Pain Medicine Pain Medicine | |
| 261QP2300X Clinic/Center Primary Care | |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
| 207RG0100X Internal Medicine Gastroenterology | |
| 207ZC0006X Pathology Clinical Pathology | |
| Enumeration Date | 2025-07-30 |
| Last Update Date | 2025-07-30 |