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 |