| NPI | 1891173498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY BATTLE Credentialing Specialist 678-783-7619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 63721) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2021-02-23 |