| NPI | 1154717742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER RICHARDSON Sole Owner And Provider 404-358-5553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA 132043) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-09 |