| NPI | 1821176967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS M. EGEA Administrator 770-427-0368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Additional Taxonomies | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: GA 041239) |
| 207Y00000X Otolaryngology (Licence: GA 36884) | |
| 207Y00000X Otolaryngology (Licence: GA 31970) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2012-09-28 |