| NPI | 1215273974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIONEL JOHNSON Practice Manager 770-439-7575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: GA 27927) |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2012-12-27 |