| NPI | 1962558460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE ISSHAK CEO 770-922-4024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |