| NPI | 1558507525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNATHAN L. HUSKEY Csa 404-309-4329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other Surgical Assistant |
| Enumeration Date | 2008-12-23 |
| Last Update Date | 2015-10-16 |