| NPI | 1356317903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM AUSTIN MORGAN Director Of Operations 678-992-0258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 028421) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA G67930) |
| 207X00000X Orthopaedic Surgery (Licence: GA 035755) | |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2025-11-11 |