| NPI | 1588322739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRES E GOMEZ VARGAS Owner 470-461-1590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2022-04-05 |