| NPI | 1962033225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL COOK Practice Administrator 404-480-9330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-01-27 |