| NPI | 1851424378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZEEZ POPOOLA ADEDUNTAN President 706-227-0871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: GA 040293) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2013-01-24 |