363LA2100X
Atlanta, GA
Specialty
363LA2100X
Credential
AGACNP-BC
NPI
1922471630
550 Peachtree St, Atlanta, GA 30308
(404) 881-1094Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 363la2100x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 363LA2100X