| NPI | 1679010458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN WAUGH Csfa 678-789-3057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-01-31 |