| NPI | 1942541511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JITESH VINOD PATEL President 678-344-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: GA 2013OCC-005544) |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2014-01-23 |