| NPI | 1720732472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC E JEAN-JACQUES Representative 678-521-4295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2022-02-10 |