| NPI | 1083330120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LEWIS Physician Assistant / First Assist 770-241-1357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2022-10-19 |