NPI | 1841800679 |
---|---|
Doing Business As | OM PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | KINJAL AMIT KACHALIA Director 470-416-3424 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2020-08-06 |
Last Update Date | 2020-08-06 |