| NPI | 1437698776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARI VELAZCO Practice Administrator 770-233-3444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 21931) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-02-20 |