| NPI | 1811159718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAZEN A ABDALLA Physician 678-344-0334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA 038414) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2019-12-10 |