NPI | 1013190131 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEJANDRO F PERNETT Owner 912-379-9380 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: GA 029928) |
Additional Taxonomies | 208D00000X General Practice (Licence: GA 029928) |
Enumeration Date | 2007-12-12 |
Last Update Date | 2007-12-12 |