| NPI | 1699710053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK FRANKLIN DEUTSCH President/Physician 770-461-4824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: GA 044444) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2012-03-29 |