| NPI | 1558408120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE JONES Certified Surgical First Assistant 770-482-5119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: 2638) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |