| 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 |