| NPI | 1063746709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY ELLIS Billing Manager 706-546-7908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0012X Otolaryngology, Sleep Medicine (Licence: GA 052997) |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2021-06-07 |