| 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 |