NPI | 1780739318 |
---|---|
Former Legal Business Name | R.C.SOUZA, MD,PC |
Entity Type | Organization |
Authorized Contact | RENATO CHAVES SOUZA President Treasurer 770-964-9759 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2007-01-24 |
Last Update Date | 2020-08-22 |