| NPI | 1124592746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIA FERRER Surgical Assistant 404-376-1712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2020-11-12 |