| NPI | 1124183926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID V CAPALLO Partner Owner 912-921-8926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2008-04-20 |