| NPI | 1669247110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER KILLINGSWORTH Owner 770-807-4940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 208200000X Plastic Surgery |
| 2086S0105X Surgery, Surgery of the Hand | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery | |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2024-04-30 |