| NPI | 1760798458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM ROPER Managed Care Representative 770-792-5276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: GA 059122) |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2011-11-23 |