| NPI | 1316587652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANFORD R. PLAVIN Physician/Owner 404-242-6360 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 1223D0004X Dentist, Dentist Anesthesiologist Speciality |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology | |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2021-06-29 |