| NPI | 1841578853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAKESH KOTHARI CEO 678-328-0577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 036662) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR007845) |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2012-01-10 |