| NPI | 1154472447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDY PARKS WILKES Office Manager 229-446-4472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 032273) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2020-08-22 |