| NPI | 1245638931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY PATRICK HARKINS M.D. 770-421-1242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: GA 071806) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2014-12-11 |