| NPI | 1063787570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON BILLINGHURST Owner 404-296-5005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: GA 63563) |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2012-03-16 |