| NPI | 1114224631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN VIRGIL SPENCE President 770-309-6636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine Undersea and Hyperbaric Medicine (Licence: GA 55572) |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2011-02-18 |