| NPI | 1841580420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANURADHA SHETH Owner 770-277-6725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN173289) |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2011-04-15 |