NPI | 1114298775 |
---|---|
Entity Type | Organization |
Authorized Contact | ANN H SCHAKER Billing Director 678-983-4479 |
Organization Subpart ? | Yes |
Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
Additional Taxonomies | 208600000X Surgery |
363AS0400X Physician Assistant, Surgical | |
Enumeration Date | 2012-01-13 |
Last Update Date | 2012-01-13 |