| NPI | 1992014872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAGINDRA NATH MANGRU Physician 770-887-5159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA 62253) |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2020-01-21 |