| NPI | 1053133264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HYUNSUK SUH Chief Surgeon 404-693-0386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2024-10-29 |