| NPI | 1053658740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVEREL SNYDER Chief Medical Officer 404-210-5993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2013-01-15 |