| NPI | 1942498050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA T JOHNSON Physician/Owner 770-704-6977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: GA 053464) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2007-12-19 |