| NPI | 1972907293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE ASHE Executive Director Of Finance 470-644-0095 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2015-07-09 |