363LC0200X
Atlanta, GA
Specialty
363LC0200X
NPI
1245092956
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 363lc0200x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 363LC0200X