| NPI | 1285011809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUL BRIAN GASH Owner 404-226-7769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-10-27 |