| NPI | 1942421920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMAD UDDIN AHMED President 706-543-3130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: GA 045157) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2008-03-27 |