| NPI | 1972594778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SATYA (SONIA) R. SUDDALA Owner Administrator 770-389-8520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: GA 4133) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2009-03-16 |