| NPI | 1881990083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDRICK TAYLOR WORK Medical Director 404-885-9675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2011-02-04 |