| NPI | 1265606446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELIO ORFACIO BURROWES Physician / Owner 678-904-1606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: GA 039061) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2019-03-11 |