| NPI | 1548794712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOB NUGENT Executive Director 770-889-0891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA G67930) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2017-06-13 |