| NPI | 1558420778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVERNE W POINDEXTER Executive Administrator 404-350-9505 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2014-04-22 |