2080A0000X
Lawrenceville, GA
Specialty
2080A0000X
Credential
CPNP
NPI
1821320003
755 Old Norcross Road, Lawrenceville, GA 30046
(770) 771-6580Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 2080a0000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 2080A0000X