| NPI | 1245305879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE M ROBERTS Billing Manager 404-351-5045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2009-03-16 |