NPI | 1043729569 |
---|---|
Entity Type | Organization |
Authorized Contact | RENEE GASGARTH Cea/Director 404-617-9645 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery |
Enumeration Date | 2017-09-27 |
Last Update Date | 2022-07-21 |