| NPI | 1972841963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD A KHAN M.D. 770-428-8118 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 042314) |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2013-01-25 |