| NPI | 1649138256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MICHELLE CROSS Owner 678-756-8296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2026-01-13 |
| Last Update Date | 2026-01-14 |