| NPI | 1477951184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | L COUSINS Director 404-369-3041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2016-12-12 |