| NPI | 1144220245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE KOLESAR Practice Administrator 404-351-1745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 200001790) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2020-08-22 |