| NPI | 1659383305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN VAUGHN Officer 404-450-4684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2023-09-13 |