| NPI | 1871731828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIJAY ARORA Physician 770-381-0307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: GA 21633) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: GA 058358) |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2010-01-05 |