| NPI | 1083387294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN VAUGHN Authorized Official 404-450-4684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2023-11-14 |