| NPI | 1922267129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN OLUBUSOLA OGUNDIPE Physician/President 678-610-2916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 039193) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2008-06-03 |