| NPI | 1194836254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA FISCHBACH CEO 770-939-9614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-04-26 |