| NPI | 1710160601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK CULLEN Propietor 770-814-2223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: GA 043191) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2011-10-07 |