| NPI | 1912703166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVINDRANATH NALLAMOTHU CEO 770-675-6025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2025-02-19 |
| Last Update Date | 2025-02-19 |