| NPI | 1083767461 |
|---|---|
| Former Legal Business Name | MACON SURGICAL ASSOCIATES, LLC |
| Entity Type | Organization |
| Authorized Contact | JOSEPH MICHAEL ROTHWELL CEO 478-746-2770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-08-22 |