| NPI | 1043775588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM SMART Owner 404-935-2189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2021-10-05 |