| NPI | 1124755913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN L RENTERIA Owner 770-361-1090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2022-08-02 |