| NPI | 1669916060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIAS DAGNEW President 404-446-4424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA ME96941) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2016-12-05 |