| NPI | 1669927075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AISHA MCKNIGHT BARON President 678-540-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2025-06-16 |