| NPI | 1518359538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN VAUGHN Officer 404-450-4684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0127X Surgery Trauma Surgery |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2023-03-27 |