| NPI | 1558677617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORNEL LEWIS Owner 404-254-8250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other Surgical Assistant (Licence: GA 2598) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2014-03-13 |