| NPI | 1710602784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS H CRAWFORD Owner 770-794-6643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2022-10-11 |