| NPI | 1013211564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA BOOTH WISE Anesthetist 404-379-7052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital, Critical Access (Licence: GA 161834) |
| Enumeration Date | 2010-12-26 |
| Last Update Date | 2010-12-26 |