| NPI | 1902079544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE ISSHAK Chief Operating Manager 770-653-9033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: GA 023369) |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2008-04-03 |