| NPI | 1356350425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE GARY GREEN President 404-255-3822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 208800000X Urology (Licence: GA BL02-00533) |
| Enumeration Date | 2006-08-06 |
| Last Update Date | 2010-11-17 |