| NPI | 1881100337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDY GUTH Executive Director 404-256-1311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2017-12-20 |