| NPI | 1508038407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA CUBIN President 678-461-8185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: GA 2915) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-03-31 |