| NPI | 1053591008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA D. MCCARTY Office Manager 229-333-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 047073) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2008-10-01 |