| NPI | 1457403248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH PRICE Csa Owner 770-559-8725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2016-10-24 |