367H00000X
Lawrenceville, GA
Specialty
367H00000X
Credential
PAAA
NPI
1417213992
758 Old Norcross Rd Suite 125, Lawrenceville, GA 30046
(678) 987-0820Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 367h00000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 367H00000X