| NPI | 1023855681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUSHIYA TSHIKUKA CEO 404-630-4772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207NS0135X Dermatology Procedural Dermatology |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2024-07-11 |