| NPI | 1992734834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY J. MACKAY Medical Doctor/ Owner 404-255-2975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: GA 032241) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2008-08-18 |