| NPI | 1811006174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT EVERETT BOSWELL Owner/Physician 404-588-1272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 035820) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2014-08-05 |