| NPI | 1881899821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADHU T. VISHWANATH President 770-438-2942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 056499) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 056499) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2010-11-12 |