| NPI | 1063749299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARMAUR STALLINGS Practice Manager 706-737-7922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: GA 029298) |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2010-02-03 |