| NPI | 1972884229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TU OAI VU PHAM Director 404-931-1843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2015-10-29 |