| NPI | 1588794937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM BRACKETT PORTER Office Manager 770-424-9732 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2009-01-14 |