| NPI | 1164131108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANFERNEE JEROME WALKER Certified Surgical Assistant 470-262-2848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2022-11-17 |