| NPI | 1194984690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIMBOLA ABOSEDE OKUNSANYA President/Owner 678-379-4557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: GA 004091) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |