| NPI | 1215307442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DEWEY DODD Certified Surgical Assistant 770-205-1233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-09-30 |