NPI | 1063607828 |
---|---|
Other Name | WAYNE UROLOGY |
Entity Type | Organization |
Authorized Contact | MARK DANIEL BYRON Md Owner 912-427-8033 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA 047579) |
Enumeration Date | 2007-09-13 |
Last Update Date | 2011-01-26 |