| NPI | 1265412142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC BOSSAK Administrator 404-255-8086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2020-08-22 |