| NPI | 1275268625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM SCOTT ALEXANDER Manager 678-662-2617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine Undersea and Hyperbaric Medicine |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2022-07-20 |