| NPI | 1831360296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIKISHA FRIPP Owner 404-292-4585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: GA 057460) |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2008-03-13 |