| NPI | 1851744254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY SIMON Ownder 404-718-0882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-21 |