| NPI | 1144295551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERMIN V STEWART Doctor 770-495-7116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: GA 042452) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2008-04-20 |