| NPI | 1366727091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM SCOTT ALEXANDER Administrator 770-920-0610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: GA 22709) |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2011-10-13 |