NPI | 1336485457 |
---|---|
Doing Business As | ADVANCED BREAST CARE |
Entity Type | Organization |
Authorized Contact | WILLIAM E BURAK Director 770-422-1988 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: GA 68527) |
Enumeration Date | 2012-12-18 |
Last Update Date | 2012-12-19 |