| NPI | 1275550022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI LYNN WILSON Business Office 404-351-0051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: GA 012106) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2011-03-22 |