| NPI | 1871793794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY A SPIVEY Owner Physician 770-714-3876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 012572) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2008-02-01 |