| NPI | 1124859376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANG HUYNH Director 404-516-3789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 208200000X Plastic Surgery |
| Enumeration Date | 2024-08-09 |
| Last Update Date | 2024-09-09 |