| NPI | 1932468287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIJAYASUDHA GUNNA Owner 770-335-0413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2012-05-07 |