| NPI | 1235628256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINELA MAHMUTOVIC Csfa 404-921-4973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2018-05-15 |