| NPI | 1619214343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN COLLIN STONG Owner/Physician 404-963-6665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: GA 54676) |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2013-01-15 |