| NPI | 1952791147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEDHANIE CHICHI BERHANE Surgeon 404-350-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 20800000x) |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2015-02-02 |