| NPI | 1912093584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DHARMESHKUMAR CHHAGANLAL PATEL Director 678-205-4999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 055264) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2010-11-08 |