| NPI | 1093081416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUSAIN ALI KHAN Owner/President 404-805-2821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: GA 051423) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2012-03-29 |