| NPI | 1952333411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVINDER K KURL Doctor 678-289-0188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: GA 045274) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2025-10-01 |