| NPI | 1861004780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN DEES Director 470-381-4666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 2086S0129X Surgery, Vascular Surgery | |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2020-08-21 |