| NPI | 1467659375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJA ATA ATIYAH Owner 931-766-7775 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: TN 39510) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2010-12-28 |