| NPI | 1508579814 |
|---|---|
| Other Name | SURGICAL OUTSOURCING |
| Entity Type | Organization |
| Authorized Contact | AMY QUADRENA HARRIEL Owner 404-380-0360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical |
| Enumeration Date | 2023-01-02 |
| Last Update Date | 2023-11-09 |