| NPI | 1477833283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI MISKIEL Certified Surgical First Assistant 770-331-4217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2011-08-24 |