| NPI | 1730729690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REETU DUA Vice President 770-815-6466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-01-08 |