| NPI | 1538214861 |
|---|---|
| Former Legal Business Name | ATLANTA OCULOPLASTIC PC |
| Entity Type | Organization |
| Authorized Contact | KATIE FUSARO Billing Manager 404-256-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2015-03-11 |