| NPI | 1609576404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH MINKA Manager 770-906-0794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Additional Taxonomies | 207N00000X Dermatology |
| 207NS0135X Dermatology, Procedural Dermatology | |
| 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck | |
| Enumeration Date | 2023-03-09 |
| Last Update Date | 2023-03-09 |