| NPI | 1760696306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL A JIMENEZ President 678-838-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 052966) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2009-03-25 |