| NPI | 1073834131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODY THOMPSON Vice President Physician Services 706-774-7720 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery |
| Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2010-06-11 |