| NPI | 1881960383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANMOHAN GUPTA Owner 478-741-4588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: GA 023976) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2012-03-29 |