NPI | 1649559626 |
---|---|
Entity Type | Organization |
Authorized Contact | SARA BADIE Billing 770-876-6964 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: GA chir007566) |
Enumeration Date | 2011-08-09 |
Last Update Date | 2011-08-09 |