| NPI | 1063663037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUANE BARCLAY Administrator 404-501-5215 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology |
| 2086S0129X Surgery, Vascular Surgery | |
| 2086X0206X Surgery, Surgical Oncology | |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2008-10-08 |