| NPI | 1114387040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YEON-JEEN CHANG President 404-312-3878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: GA 63841) |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2016-03-04 |