| NPI | 1922456300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALAMBUR V PANCHAPAKESAN Owner 478-633-7010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 42912) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-05-26 |