| NPI | 1043587280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL AL MARCECA Owner 770-461-7664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA CHIR002314) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2024-05-06 |