| NPI | 1952590952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIVARAMA KRISHNA MEDURI Md/Owner 706-226-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 020055) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-10-17 |