| NPI | 1932508603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE GARNER Administrator 678-604-1053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 6511) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-08-19 |