| NPI | 1619987682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UTHAN VIVEK Owner/Physician 770-771-5260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: GA 058235) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2021-06-28 |