| NPI | 1174923478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MCCLAIN CEO 770-897-7056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: GA 072683) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 016401) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 053450) | |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2014-08-25 |