| NPI | 1003528860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD ALEMAN Owner 404-777-1728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 202K00000X |
| Enumeration Date | 2022-12-22 |
| Last Update Date | 2022-12-22 |