| NPI | 1962910679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMILA PATEL Credentialing Specialist 770-255-7442 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-01-16 |