| NPI | 1366898546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN L GARNER JOSEPH Owner 770-596-1463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: GA 165552) |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2025-06-20 |