| NPI | 1700232865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA KAPOU WONG COO 770-686-1366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management | |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2023-11-01 |