| NPI | 1669852331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUSAIN ALI KHAN Owner 404-805-2821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: GA 51423) |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: GA 51423) |
| 207QB0002X Family Medicine, Bariatric Medicine (Licence: GA 55763) | |
| 208600000X Surgery (Licence: GA 55763) | |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-09-30 |