| NPI | 1760883201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELMER ANTHONY MUSARRA M.D. 770-421-1242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: GA 013069) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2014-09-15 |