| NPI | 1255586855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA B. ATKINS Credentialing Officer 478-737-0395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 20898) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2009-09-13 |