| NPI | 1669539078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLADIRAN A AFOLABI-BROWN Owner 478-745-7925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |