| NPI | 1073684742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIOTT RONALD FINGER Plastic Surgeon 912-354-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: GA 2086SO122X) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |