| NPI | 1356317903 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MICHEAL J KALSON Managing Member 770-889-0891 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 028421) | 
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 035755) | 
| 207X00000X Orthopaedic Surgery (Licence: GA G67930) | |
| Enumeration Date | 2006-02-24 | 
| Last Update Date | 2017-06-27 |