NPI | 1093255044 |
---|---|
Entity Type | Organization |
Authorized Contact | FREDERICK LETOIS DURDEN Physician 404-642-7722 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: GA 65539) |
Enumeration Date | 2017-02-24 |
Last Update Date | 2017-02-24 |