| NPI | 1104321413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE KASTANOS Csfa/Owner 770-378-7178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2022-06-28 |