| NPI | 1710183454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANGEL DICRISTINA Physician Owner 770-968-7933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: GA 022223) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2020-08-22 |