| NPI | 1104113307 |
|---|---|
| Doing Business As | ACI SURGICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | ROBIN J. MADDOX Provider Enrollment Coordinator 912-350-9335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2011-07-08 |