| NPI | 1942310917 |
|---|---|
| Former Legal Business Name | THE BREAST CENTER, P.C. |
| Entity Type | Organization |
| Authorized Contact | MITZI EDGE Practice Administrator 770-428-4486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2016-04-20 |