| NPI | 1902864291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEARL E ASCHE CROWE Practice Coordinator 770-474-3882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: GA 263703) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2013-06-28 |