| NPI | 1184943391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY ROBINSON Owner/President 678-662-8792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: GA 2705) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2010-05-27 |