| NPI | 1174680979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLEY GARRETT Prac Admin 404-446-1447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: GA 028477) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2010-08-30 |