| NPI | 1124600325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKI DANIELS Owner 404-610-7693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2021-04-27 |