| NPI | 1376894683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVEREL B SNYDER Owner 770-559-5834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 035769) |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2012-09-26 |