| NPI | 1770945032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVIDETTA FREEMAN Cst, Sfa 678-425-4344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other Surgical Technologist |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2016-03-25 |