| NPI | 1669406591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL HOUSTON PAYNE Medical Doctor 404-352-3522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2022-12-07 |