| NPI | 1164751012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL B STUBBS President 404-292-4348 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 022652) |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2010-12-16 |