| NPI | 1902325459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NHORA SANTIAGO-GAMBOA Surgical First Assistant 404-909-7195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: GA 168130) |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2022-03-11 |